Actuarial Analyst I

CareSource; United States; On-site; USD 63,000 - 100,000; Full time

Job summary

CareSource is seeking an Actuarial Analyst I to provide timely, accurate data and analyses supporting department and corporate initiatives within the healthcare space. You will contribute to profitability and efficiency analyses, with involvement in IBNR reserve calculations and government reimbursement reviews, while collaborating with cross-functional teams.

The role requires a bachelor’s degree in actuarial science, math, or economics and strengthens skills in SAS/Access and SQL; healthcare

Qualifications

• Bachelor's degree in actuarial science, mathematics, economics or a related field is required.
• Strong database experience (SAS or Access) is preferred.
• Managed Care or healthcare experience is preferred.

Responsibilities

• Develops actionable recommendations to management relative to all analysis.
• Calculates profitability reports on appropriate business segments.
• Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability.
• Performs regular and ad-hoc analysis to evaluate assumptions used in other processes.
• Participates in cross functional teams to address key issues facing the organization.
• Prepares monthly calculation of the company's IBNR reserves.
• Evaluates government reimbursement process to determine areas of risk and opportunity.
• Initiates key analysis to improve overall MLR results.

Skills

Interpersonal communication

Written communication

Teamwork

Excel

SQL basics

SAS basics

R basics

Problem solving

Attention to detail

Critical thinking

Presentation

Education

Bachelor's degree in actuarial science, mathematics, economics or a related field

Tools

SAS

Access

SQL

R

Job description

Job Summary

The Actuarial Analyst I is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives.

Essential Functions

• Develops actionable recommendations to management relative to all analysis
• Calculates profitability reports on appropriate business segments
• Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability
• Performs regular and ad-hoc analysis/studies to evaluate assumptions used in other processes
• Participates in cross functional teams to address key issues facing the organization
• Prepares monthly calculation of the company's IBNR reserves
• Evaluates government reimbursement process to determine areas of risk and opportunity
• Participates in initiatives to improve operating results
• Initiates key analysis to improve overall MLR results
• Performs other duties as assigned

Education And Experience

• Bachelor's degree in actuarial science, mathematics, economics or a related field is required
• Strong database (SAS or Access) experience is preferred
• Managed Care or healthcare experience is preferred

Competencies, Knowledge And Skills

• Intermediate interpersonal/verbal communication skills and a high level of professionalism
• Intermediate written communication skills
• Intermediate ability to work independently and within a team environment
• Intermediate ability to work in fast paced environment with changing priorities
• Intermediate ability to remain calm under pressure
• Intermediate proficiency level with Microsoft Excel
• Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook
• Basic ability to effectively present information and respond to questions from peers and management
• Basic ability to analyze and interpret financial data in order to coordinate the preparation of financial records
• Basic knowledge of SQL, SAS, R, or other data manipulation software
• Effective problem-solving skills with attention to detail
• Effective listening and critical thinking skills

Licensure And Certification

• A minimum of one exam passed under the Society of Actuaries Exam Syllabus is required; exam SRM via transition credit does not meet this requirement
• Active pursuit of an actuarial designation (ASA) is required

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time

$62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Salary

Organization Level Competencies

Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.